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Colorado rates for HCPCS Q5122

Injection, pegfilgrastim-apgf (Nyvepria), biosimilar, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.16 / $264.08 / $540.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $131.16 / $159.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.96 / $230.29 / $419.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $131.16 / $131.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.73 / $123.73 / $173.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $131.16 / $131.16
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.04 / $177.26 / $377.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.37 / $144.27 / $215.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $131.16 / $131.16